Secuencia clínica en la preparación dentaria de dientes anterosuperiores al tratamiento periodontal en pacientes atendidos en la clínica integral Facultad Piloto de Odontología.
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2015-06
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Las preparaciones dentarias tanto anteriores como posteriores finalizan en
una línea de terminado. Algunas terminan sobre las superficies oclusales y
axiales, y se conocen como ángulos cavo- superficiales. No obstante, las
más controvertidas son las líneas de terminado gingival.
El uso aumentado de restauraciones de cubrimiento total, y el énfasis que
se hace acerca del soporte periodontal, son responsables del repudio de la
extensión tradicional de los márgenes coronarios dentro del espacio
subgingival. La recomendación anterior consistía en extender los márgenes
dentro del espacio intracrevicular porque la crevícula gingival estaba hecha
a propósito para ser inmune a la caries.
La primera norma inquebrantable ante un tratamiento restaurador anterior
como posterior debe ser la de controlar la inflamación (gingivitis o
periodontitis) antes, durante y después del mismo. La mayoría de los
pacientes periodontales han perdido alguna pieza dentaría que requiere de
un tratamiento protésico para restaurarla. Un trabajo en equipo:
periodoncia, prostodoncia, ortodoncia etc, coordinado en su secuencia es
imprescindible para una buena rehabilitación.
La desviación o alejamiento de esta norma se consideraba como
irresponsabilidad, a pesar del hecho de que había una fuerte evidencia que
apoyaba o justificaba los márgenes supragingivales en pacientes anteriores
asociados a enfermedad periodontal Por el contrario, los márgenes
subgingivales son considerados necesarios.
Both pre- and post end tooth preparations in a finishing line. Some end up on the occlusal and axial surfaces, and are known as surface cavo- angles. However, the most controversial gingival lines are finished. The increased use full coverage restorations, and the emphasis placed on the periodontal support, are responsible for the rejection of the traditional extension of coronary margins within the subgingival space. The previous recommendation was to extend the margins in space because the gingival intracrevicular crevícula was made on purpose to be immune to decay. The first unbreakable rule to a previous restorative treatment as a post should be to control inflammation (gingivitis or periodontitis) before, during and after. Most periodontal patients have lost any tooth that requires a prosthetic treatment to restore it. Teamwork: periodontics, prosthodontics, orthodontics etc, coordinated in sequence it is essential for proper rehabilitation. The deviation or departure from this standard is regarded as irresponsible, despite the fact that there is strong evidence that supported or justified margins supragingival previous patients associated with periodontal disease Conversely, subgingival margins are considered necessary.
Both pre- and post end tooth preparations in a finishing line. Some end up on the occlusal and axial surfaces, and are known as surface cavo- angles. However, the most controversial gingival lines are finished. The increased use full coverage restorations, and the emphasis placed on the periodontal support, are responsible for the rejection of the traditional extension of coronary margins within the subgingival space. The previous recommendation was to extend the margins in space because the gingival intracrevicular crevícula was made on purpose to be immune to decay. The first unbreakable rule to a previous restorative treatment as a post should be to control inflammation (gingivitis or periodontitis) before, during and after. Most periodontal patients have lost any tooth that requires a prosthetic treatment to restore it. Teamwork: periodontics, prosthodontics, orthodontics etc, coordinated in sequence it is essential for proper rehabilitation. The deviation or departure from this standard is regarded as irresponsible, despite the fact that there is strong evidence that supported or justified margins supragingival previous patients associated with periodontal disease Conversely, subgingival margins are considered necessary.
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GINGIVITIS, PERIODONTITIS, REHABILITACION BUCAL